SpineAlly is a real-world data collection platform enabled by a mobile app, smart-watches, and custom generated questionnaires. The SpineAlly platform is specifically designed to assess autonomic (i.e., unconscious bodily functions such as blood pressure, bladder function, bowel function, sexual function, etc.) in people with Spinal Cord Injury. We have customized the application to convert the “step count” from your wearables into “wheelchair pushes” to enable adequate activity tracking. The SpineAlly platform compiles all of your collected health data (i.e., smart watch data/self-report questionnaire data and employs customized calculations to improve tracking of your health outcomes. If you are participating in clinical trials with SpineAlly, you will have access to a customized portal for data reporting through questionnaires and teleconnect capabilities that provide a direct line of communication between you and clinical trial staff. Lastly, the SpineAlly platform includes a portal with curated evidence-based educational resources for people living with spinal cord injury that allows you to compile and access the resources that best suit your needs.